Provider Demographics
NPI:1245389493
Name:ASHTON, SCOTT J (DPM)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:J
Last Name:ASHTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11613 N CENTRAL EXPY STE 121
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3842
Mailing Address - Country:US
Mailing Address - Phone:214-691-0760
Mailing Address - Fax:877-486-1749
Practice Address - Street 1:11613 N CENTRAL EXPY
Practice Address - Street 2:# 121
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3820
Practice Address - Country:US
Practice Address - Phone:214-691-0760
Practice Address - Fax:214-691-5434
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0677213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT11998Medicare UPIN
TX00N43JMedicare ID - Type Unspecified
TX00N43JMedicare PIN